What Is a Capsulectomy?

Capsulectomy involves the surgical removal of the capsule, a layer of scar tissue that forms naturally around breast implants. This procedure is typically performed to address complications such as capsular contracture (a painful hardening of the capsule), implant rupture, or other issues like Breast Implant Illness (BII). 

Depending on your specific concerns, the surgery may include partial or complete removal of the capsule:

  • Partial Capsulectomy: Removes a portion of the capsule, leaving some tissue to be absorbed by the body.
  • Total Capsulectomy: Removes the entire capsule surrounding the implant.
  • En Bloc Capsulectomy: Involves removing the capsule and implant together as a single unit to minimize the risk of spreading implant-related debris or bacteria. This approach is often preferred for severe cases of capsular contracture or BII.

During your consultation, Dr. Sundin will recommend the best surgical approach for your needs, prioritizing your health, safety, and aesthetic goals.

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Why Do Patients Need a Capsulectomy?

Capsulectomy can address a variety of issues that arise after breast augmentation, including:

Capsular Contracture

This condition occurs when the capsule tightens around the implant, causing discomfort, distortion, and hardness.

Implant Rupture or Leakage

If an implant breaks or leaks, removing the surrounding capsule ensures that no debris or silicone remains.

Breast Implant Illness (BII)

For patients experiencing systemic symptoms such as fatigue, joint pain, or inflammation believed to be linked to their implants, removing the implant and capsule may alleviate these issues.

Changing Aesthetic Goals

Some patients wish to remove their implants entirely or replace them with a different size, type, or placement.

BIA-ALCL (Breast Implant-Associated Anaplastic Large Cell Lymphoma)

Though rare, this cancer can develop in the capsule surrounding textured implants. A total or en bloc capsulectomy is the recommended treatment.

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Your Capsulectomy Experience

Capsulectomy is typically performed under general anesthesia and can take two to four hours, depending on the complexity of the case. Your surgeon will carefully create incisions to access and remove the capsule and, if applicable, the implant. If you opt for implant removal without replacement, additional procedures like a breast lift or fat transfer may be performed to restore a natural, balanced chest appearance.

After surgery, you can expect some swelling, bruising, and discomfort, which will subside over the following weeks. A compression garment may be provided to support your healing process. Most patients return to light activities within one to two weeks, but strenuous exercise should be avoided for at least four to six weeks.

Our team will provide you with a detailed recovery plan and be available to answer any questions throughout your healing process.

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Am I a Good Candidate for Capsulectomy?

Capsulectomy may be an excellent option for you if you’re experiencing implant-related complications, have systemic symptoms potentially linked to your implants, or wish to remove or replace your implants for personal reasons. Ideal candidates should be in good overall health, non-smokers, and have realistic expectations for their results.

During your consultation, Dr. Sundin will evaluate your medical history, assess your current implants, and discuss your goals to determine if capsulectomy is right for you.

Capsulectomy FAQ

How long does it take to recover from a capsulectomy?

Will I need additional procedures after capsulectomy?

What type of anesthesia is used?

Can capsulectomy treat breast implant illness (BII)?

Will capsulectomy leave scars?

What are the risks associated with capsulectomy?

How do I know if I need an en bloc capsulectomy?

How long does it take to recover from a capsulectomy?

Most patients can return to work and light activities within one to two weeks, but full recovery typically takes four to six weeks.

Will I need additional procedures after capsulectomy?

If implants are removed without replacement, procedures like a breast lift or fat transfer may be recommended to achieve a balanced and natural appearance.

What type of anesthesia is used?

Capsulectomy is usually performed under general anesthesia for your comfort and safety.

Can capsulectomy treat breast implant illness (BII)?

While there is no definitive medical consensus on BII, many patients report improvement in systemic symptoms after capsulectomy with implant removal.

Will capsulectomy leave scars?

Scarring is minimal and typically placed in discreet locations, such as under the breast or around the areola. Over time, scars will fade and become less noticeable.

What are the risks associated with capsulectomy?

As with any surgery, there are risks, including infection, bleeding, changes in breast sensation, or asymmetry. Your surgeon will discuss these risks during your consultation.

How do I know if I need an en bloc capsulectomy?

En bloc capsulectomy is often recommended for severe capsular contracture, BII, or BIA-ALCL. Your surgeon will advise if this approach is appropriate for your case.

Why Choose the Virginia Institute of Plastic Surgery?

At the Virginia Institute of Plastic Surgery, Dr. Burton Sundin and Dr. Reps Sundin bring decades of experience, board certification, and a dedication to patient-centered care. Using the latest surgical techniques and cutting-edge technology, our team ensures safe, effective, and natural-looking results.

We prioritize your health and well-being, offering comprehensive guidance from consultation to recovery.

Contact us today to schedule your consultation and learn how capsulectomy can restore your confidence and quality of life.

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